Healthcare Provider Details

I. General information

NPI: 1740799121
Provider Name (Legal Business Name): TWIN CITIES MIDWIFERY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2017
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4201 44TH AVE S
MINNEAPOLIS MN
55406-3540
US

IV. Provider business mailing address

4201 44TH AVE S
MINNEAPOLIS MN
55406-3540
US

V. Phone/Fax

Practice location:
  • Phone: 651-335-1283
  • Fax: 888-503-3229
Mailing address:
  • Phone: 651-335-1283
  • Fax: 888-503-3229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State

VIII. Authorized Official

Name: KATHRYN SAUMWEBER HOGAN
Title or Position: OWNER, LICENSED MIDWIFE
Credential: CPM, LM
Phone: 651-335-1283